CONWAY HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CONWAY HOSPITAL INC (EIN 57-0314381)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201242289349303399
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T15:48:08-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 S COLLEGE ST STE 2500AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28244ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570314381EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONWNameControl
Phone8433478037Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRET BARRName
TitleCFOTitle
Phone8433477111Phone
Date Signed2012-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHELE N MELCHIORName
Phone7046323500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Conway Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHILIP CLAYTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts162212604GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CONWAYMEDICALCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1928YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionWE ARE AN ACUTE CARE HOSPITAL SERVING RESIDENTS OF HORRY AND SURROUNDING COUNTIES. OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1177TotalNbrEmployees
Total Nbr Volunteers252TotalNbrVolunteers
Total Gross UBI32011TotalGrossUBI
Contributions Grants Prior Year221132ContributionsGrantsPriorYear
Contributions Grants Current Year171041ContributionsGrantsCurrentYear
Program Service Revenue Prior Year154602155ProgramServiceRevenuePriorYear
Program Service Revenue CY157978294ProgramServiceRevenueCY
Investment Income Prior Year2145656InvestmentIncomePriorYear
Investment Income Current Year3592525InvestmentIncomeCurrentYear
Other Revenue Prior Year178847OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year157147790TotalRevenuePriorYear
Total Revenue Current Year161741860TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year249558GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY73864GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year55758286SalariesEtcPriorYear
Salaries Etc Current Year55852354SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year88610712OtherExpensePriorYear
Other Expenses Current Year88686887OtherExpensesCurrentYear
Total Expenses Prior Year144618556TotalExpensesPriorYear
Total Expenses Current Year144613105TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12529234RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17128755RevenuesLessExpensesCY
Total Assets BOY309034146TotalAssetsBOY
Total Assets EOY321635685TotalAssetsEOY
Total Liabilities BOY95115862TotalLiabilitiesBOY
Total Liabilities EOY94364012TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY213918284NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY227271673NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCONWAY HOSPITAL INC., LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense133025734Expense
Grants73864Grants
Revenue157978294Revenue
DescriptionCONWAY HOSPITAL INC. IS A 168 BED ACUTE FACILITY LOCATED IN THE CITY OF CONWAY, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 1928 FOR THE PURPOSE OF OPERATING A COMMUNITY HOSPITAL IN HORRY COUNTY. THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF HORRY COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501 (C) (3) REVENUE RULE 69-545, 1969-2 C B 117, AS MODIFIED BY REV RUL 83-157, 1983-2 C B 94, WHICH SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICE WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID. DURING THE YEAR ENDED SEPTEMBER 30, 2011, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $18,944,336 IN FOREGONE CHARGES. THE TOTAL DAYS OF PATIENT CARE WERE 34,334 AND CONWAY HOSPITAL INC. SAW A TOTAL OF 140,779 PATIENTS DURING THE YEAR. IN ADDITION TO PROVIDING PATIENT CHARITY CARE, AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OFFERS A MOBILE OUTREACH PROGRAM. THIS PROGRAM OFFERS FREE SCREENING SERVICES TO MEDICALLY UNDERSERVED AREAS OF OUR COMMUNITY. THESE AREAS ARE DESIGNATED AS SUCH THROUGH CENSUS DATA AND HEALTH SERVICE AREA STATISTICS. EXAMPLES OF SCREENING SERVICES OFFERED ON A WEEKLY BASIS INCLUDE BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR. EXAMPLES OF SCREENING SERVICES OFFERED THROUGHOUT THE YEAR INCLUDE MEDICAL BREAST EXAMS, PROSTATE CANCER EXAMS, THYROID SCREENINGS, AND PAP EXAMS. IN ADDITION, HEALTH EDUCATION AND REFERRAL ASSISTANCE ARE PROVIDED. THE HOSPITAL ALSO OFFERS FREE HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE COMMUNITY AT LARGE RELATED TO SMOKING CESSATION, BREAST CANCER AWARENESS, HEART DISEASE PREVENTION AND EARLY DETECTION, NUTRITION AND WEIGHT MANAGEMENT, DIABETES EDUCATION, BREASTFEEDING EDUCATION. SELF HELP AND SUPPORT GROUPS ARE ALSO PROVIDED AT NO COST TO THE COMMUNITY ON A VARIETY OF TOPICS. FAMILY SUPPORT SERVICES ARE ALSO OFFERED TO ASSIST COMMUNITY MEMBERS IN LOCATING OTHER FREE OR REDUCED SERVICES AVAILABLE IN THE COMMUNITY IN ORDER TO IMPROVE THEIR HEALTH OUTCOMES.Description
Total Program Service Expense133025734TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096146NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1177NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRET BARRNamePerson
Telephone Number8433477111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PHILIP CLAYTON
CEO AND TRUSTEE40.0XX6162010234361
LEROY RAINBOW JR
CHAIRMAN1.0XX000
M WAYNE STATON
SECRETARY1.0XX000
WILLIAM R BENSON
TRUSTEE1.0X000
WILLIAM L HUGGINS
TRUSTEE1.0X000
HENRY V SAUNDERS MD
TRUSTEE1.0X000
CHRISTOPHER S HUGGINS
TRUSTEE1.0X000
CHARLES B JORDAN
TRUSTEE1.0X000
DIANNE W RAY
TRUSTEE1.0X000
HAL B HOLMES MD
TRUSTEE1.0X000
REGINALD F DAVES MD
TRUSTEE1.0X000
MICHAEL ELLIS MD
TRUSTEE1.0X000
JOHN P HENRY
TRUSTEE1.0X000
DEIRDRE S WILLIAMS DDS
TRUSTEE1.0X000
AARON EPSTEIN MC
TRUSTEE1.0X000
BRET BARR
CFO40.0X291507075838
PRESTON STROSNIDER
VP OF MEDICAL STAFF40.0346241065908X
ANNAMARIE EAKINS
VP OF NURSING40.02323910101659X
CRAIG HYMAN
VP OF HUMAN RESOURCES40.0207794073596X
DWIGHT GENTRY JR
VP OF ANCILLARY40.0201490016900X
ANGELA WILLIFORD
CHIEF RISK OFFICER40.0177161035229X
KEVIN LOVETT
VP OF FACILITIES40.0157576032854X
BERNARD MASSEY
VP OF FOUNDATION40.0154353028854X
ROBERT GAJEWSKI
DIRECTOR OF PHARMACY40.0140591026494X
DENNIS FINLEY
DIRECTOR OF PHYSICAL THERAPY40.0123035025603X
NATALIE GLODACK
PHARMACIST40.0121286025546X
GLEN SISK
PHARMACIST40.0120934025539X
WENDELL BEVERLY
CLINICAL PHARMACY COORDINATOR40.0119120025467X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3009680TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation793848TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MB Kahn
101 Flint Lake RoadCOLUMBIASC29223Construction2587864
Meridian
3500 Financial Plaza Suite 200TALLAHASSEEFL32312Respratory Therapy2021609
Hospital Medicine Associates
P O Box 634850CINCINNATIOH45263Physcian Services1376984
Aramark CTs
10510 Twin Lakes ParkwayCHARLOTTENC28269Technical Services876039
Shams Group Inc
1034 West Walnut Hill LaneIRVINGTX75038Info Services605262
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Related Organizations128300RelatedOrganizations
Government Grants42741GovernmentGrants
Total Contributions171041TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT REVENUE621110153667731153667731
WELLNESS CENTER90009911667921166792
DIETARY REVENUE722210106072839499130828$634,909
PREMIER INCOME9000996094796082961183
COASTAL HOME CARE900099340481340481

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1133083TotalRevenueColumn
Related Or Exempt Function Income1133083RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue157978294TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4063269TotalRevenueColumn
Exclusion$4,063,269ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other470744Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-470744Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-470744TotalRevenueColumn
Exclusion-$470,744ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column161741860TotalRevenueColumn
Related Or Exempt Function Income157311374RelatedOrExemptFunctionIncome
Unrelated Business Revenue32011UnrelatedBusinessRevenue
Exclusion$4,227,434ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total35541Total
Program Services35541ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total38323Total
Program Services38323ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2969982Total
Program Services356139ProgramServices
Management And General2613843ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total40626474Total
Program Services36017318ProgramServices
Management And General4609156ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1811575Total
Program Services1503607ProgramServices
Management And General307968ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7416534Total
Program Services6138047ProgramServices
Management And General1278487ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3027789Total
Program Services2513065ProgramServices
Management And General514724ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4565728Total
Program Services4565728ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60226Total
Management And General60226ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total92022Total
Management And General92022ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total3875Total
Program Services3875ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7735930Total
Program Services7569277ProgramServices
Management And General166653ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29340367Total
Program Services28169279ProgramServices
Management And General1171088ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total64089Total
Management And General64089ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2435984Total
Program Services2321053ProgramServices
Management And General114931ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total29806Total
Program Services9479ProgramServices
Management And General20327ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2895077Total
Program Services2895077ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7827473Total
Program Services7486877ProgramServices
Management And General340596ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total494455Total
Program Services477976ProgramServices
Management And General16479ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT2813995428139954
MINOR EQUIPMENT45735141833539015
FOOD SUPPLIES102769992885498845
TRAINING/EDUCATION88308938778922
MEDICAID PROVIDER TAX34236803423680

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4863Total
Program Services4863ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total144613105Total
Program Services133025734ProgramServices
Management And General11587371ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19068643BOY
EOY19788135EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6131575BOY
EOY3796120EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9999941BOY
EOY13019146EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY338473BOY
EOY537115EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2661615BOY
EOY2953224EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3023138BOY
EOY3049490EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis180813068LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec83645816LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY98852687BOY
EOY97167252EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY133007441BOY
EOY140083733EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5447024BOY
EOY5355750EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY30503609BOY
EOY35885720EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY309034146BOY
EOY321635685EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15803979BOY
EOY16326783EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY491730BOY
EOY491730EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY71845972BOY
EOY68725695EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6974181BOY
EOY8819804EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY95115862BOY
EOY94364012EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY212588211BOY
EOY225944091EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY709110BOY
EOY685823EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY620963BOY
EOY641759EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY213918284BOY
EOY227271673EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY309034146BOY
EOY321635685EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses17128755ReconcilationRevenueExpenses
Reconcilation Other Changes-3775366ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$3,875OtherActivitiesAmount
Total Lobbying Expenditures IIB3875TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOther ActivitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
ExplanationCONWAY HOSPITAL, INC. PAYS ANNUAL MEMBERSHIP DUES AS PART OF THEIR MEMBERSHIP WITH THE SOUTH CAROLINA HOSPITAL ASSOCIATION AND A PERCENTAGE OF THESE DUES ARE USED FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2464486BeginningOfYearBalance
Contributions421801Contributions
Investment Earnings Or Losses-11208InvestmentEarningsOrLosses
Other Expenditures341166OtherExpenditures
End Of Year Balance2533913EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2299137BeginningOfYearBalance
Contributions360688Contributions
Investment Earnings Or Losses106530InvestmentEarningsOrLosses
Other Expenditures301869OtherExpenditures
End Of Year Balance2464486EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2186079BeginningOfYearBalance
Contributions423964Contributions
Investment Earnings Or Losses353InvestmentEarningsOrLosses
Other Expenditures311259OtherExpenditures
End Of Year Balance2299137EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.17000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.52000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.31000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3279138OtherCostOrOtherBasis
Book Value3279138BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis83248962OtherCostOrOtherBasis
Depreciation26185864Depreciation
Book Value57063098BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis77916096OtherCostOrOtherBasis
Depreciation51027999Depreciation
Book Value26888097BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16368872OtherCostOrOtherBasis
Depreciation6431953Depreciation
Book Value9936919BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings97167252TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES32775720
BOND REFUNDING3110000
FieldValueIRS element (for citing)
Total Book Value Other Assets35885720TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAP LIABILITYDescription
Amount$8,819,804Amount
FieldValueIRS element (for citing)
Total Of Amounts8819804TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY CONWAY HOSPITAL FOUNDATION. THE ENDOWMENT FUNDS BENEFIT A VARIETY OF PROGRAMS, INCLUDING: QUALITY PATIENT CARE AND SAFETY, PEDIATRIC AND CHILDREN'S MEDICINE, EQUIPMENT AND TECHNOLOGY IMPROVEMENTS, NURSING SCHOLARSHIPS AND OTHER PROGRAMS AND FUNDING AS IS CONSISTENT WITH THE WISHES AND DESIGNATIONS OF DONORS.
LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740)SCHEDULE D, PART X, LINE 2THE ORGANIZATION ADOPTED FIN48 (NOW KNOWN AS ASC740) IN AN EARLIER YEAR, HOWEVER AS THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT REQUIRED DISCLOSURE, NO FOOTNOTE IS INCLUDED IN THE CURRENT YEAR FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7180222TotalCommunityBenefitExpense
Direct Offsetting Revenue774093DirectOffsettingRevenue
Net Community Benefit Expense6406129NetCommunityBenefitExpense
Percent Of Total Expense0.05500PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19926287TotalCommunityBenefitExpense
Direct Offsetting Revenue15725145DirectOffsettingRevenue
Net Community Benefit Expense4201142NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense27106509TotalCommunityBenefitExpense
Direct Offsetting Revenue16499238DirectOffsettingRevenue
Net Community Benefit Expense10607271NetCommunityBenefitExpense
Percent Of Total Expense0.09110PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense234710TotalCommunityBenefitExpense
Net Community Benefit Expense234710NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense39600TotalCommunityBenefitExpense
Net Community Benefit Expense39600NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense68641TotalCommunityBenefitExpense
Net Community Benefit Expense68641NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense342951TotalCommunityBenefitExpense
Net Community Benefit Expense342951NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27449460TotalCommunityBenefitExpense
Direct Offsetting Revenue16499238DirectOffsettingRevenue
Net Community Benefit Expense10950222NetCommunityBenefitExpense
Percent Of Total Expense0.09400PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense800TotalCommunityBuildingExpense
Net Community Building Expense800NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense720TotalCommunityBuildingExpense
Net Community Building Expense720NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1520TotalCommunityBuildingExpense
Net Community Building Expense1520NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$8,122,746BadDebtExpenseAmount
Amount Reimbursed By Medicare35126014AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare46709728CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11583714MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE RDAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSP OUTPATIENT DIAGNOSTIC CTRBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1801 FARRAR DRAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Facility TypeX-RAYS, ULTRASOUND, MAMMOGRAPHYFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT REMOVEDSCHEDULE H, PART I, LINE 7, COLUMN FBAD-DEBT OF $28,139,954 HAS BEEN REMOVED FROM TOTAL EXPENSES IN THE CALCULATION OF THE TABLE ON LINE 7.
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7THE IRS WORKSHEETS WITH INPUT FROM OUR MEDICARE COST REPORT WERE USED TO COMPUTE THE AMOUNTS IN THE TABLE UTILIZING A COST TO CHARGE RATIO.
BAD DEBT EXPENSESCHEDULE H, PART III, LINE 4CONWAY HOSPITAL'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE APPLIED TO PATIENT ACCOUNTS BEFORE DETERMINING BAD DEBT. BAD DEBT AND ADJUSTMENTS TO ACCOUNTS RECEIVABLE ARE DETERMINED USING A LOOK-BACK METHOD AND AGING CATEGORIES BASED ON HISTORICAL COLLECTION PERCENTAGES. THE COST OF BAD-DEBT REPORTED ON LINE 2 OF PART III WAS COMPUTED WITH THE COST TO CHARGE RATIO DEVELOPED FROM THE IRS WORKSHEETS AND OUR MEDICARE COST REPORT.
MEDICARE SHORTFALLSCHEDULE H, PART III, LINE 8THE ENTIRE AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. BY ACCEPTING MEDICARE PATIENTS, THE HOSPITAL PROMOTES ACCESS TO HEALTHCARE SERVICES, THUS PROVIDING A COMMUNITY BENEFIT. WE USED THE MEDICARE COST TO CHARGE RATIO FROM OUR MEDICARE COST REPORT FOR THIS SAME PERIOD.
COLLECTION POLICY FOR THOSE QUALIFYING FOR ASSISTANCESCHEDULE H, PART III, LINE 9bWHEN INDIVIDUALS ARE LATENTLY IDENTIFIED AS POTENTIALLY QUALIFYING FOR FINANCIAL ASSISTANCE, THE NORMAL COLLECTION PROCESS IS HALTED AND THE PATIENT IS REFERRED TO A FINANCIAL COUNSELOR TO DETERMINE THEIR NEED AND WHAT ASSISTANCE CAN BE PROVIDED. WE USE A THIRD PARTY TO ASSIST PATIENTS IN COMPLETING THE MEDICAID APPLICATION AND THE HOSPITAL ASSISTANCE APPLICATION. WE USE THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. IF A PATIENT IS FOUND TO QUALIFY WE APPLY A DISCOUNT TO THEIR ACCOUNT IN ACCORDANCE WITH OUR POLICY. FOR THE PORTION OF THE BILL THAT THE PATIENT IS RESPONSIBLE FOR, THE HOSPITAL WORKS OUT A PAYMENT PLAN WITH THE PATIENT AND THEN ANY FURTHER ACTION IS HANDLED THROUGH NORMAL COLLECTION PRACTICES.
COMMUNITY HEALTH CARE NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL ISSUED A REPORT IN 2010 RELATED TO THE IMPACT OF CHRONIC HEALTH CONDITIONS FOR THOSE IN HORRY COUNTY. THE FULL REPORT CAN BE FOUND AT HTTP://WWW.SCDHEC.GOV/HS/EPIDATA/COUNTY_REPORTS.HTM. HORRY COUNTY RANKS HIGHER THAN THE STATE AVERAGE FOR THE FOLLOWING RISK FACTORS WHICH CONTRIBUTE TO CHRONIC HEALTH CONDITIONS: SMOKING, AND LESS THAN 5-A DAY. THE AGE-ADJUSTED DEATH RATE FOR LUNG CANCER IN HORRY COUNTY (PER 100,000) IS 58.4% COMPARED TO THE STATE AVERAGE OF 52.6% THE HOSPITAL OFFERS A FREE PROGRAM FOR THE COMMUNITY TWO TIMES A YEAR RELATED TO SMOKING CESSATION. ADDITIONALLY, ALL PATIENTS ARE ASSESSED FOR THEIR USE OF TOBACCO AND PROVIDED WITH APPROPRIATE EDUCATION SHOULD THEY REPORT THEY DO USE TOBACCO. THE HOSPITAL'S MOBILE OUTREACH PROGRAM ALSO CONDUCTS A SIMILAR ASSESSMENT AND EDUCATION FOR THOSE INDIVIDUALS SEEN IN THE COMMUNITY BY THE OUTREACH VAN. THE COUNTY'S AGE-ADJUSTED DEATH RATE FOR HEART DISEASE (PER 100,000) IS 197.4 WHICH IS ALSO HIGHER THAN THE STATE AVERAGE OF 188.9. THE MOBILE HEALTH OUTREACH VAN OFFERS FREE BLOOD PRESSURE AND CHOLESTEROL TESTING AS WELL AS NUTRITIONAL EDUCATION ON A ROUTINE BASIS THROUGHOUT THE WESTERN PART OF HORRY COUNTY. ADDITIONAL STATISTICS ARE NOTED BELOW UNDER 'PROMOTION OF COMMUNITY HEALTH.' THE HOSPITAL IS CURRENTLY WORKING ON A COMMUNITY HEALTH NEEDS ASSESSMENT FOR FISCAL YEAR 2013.
PATIENT EDUCATIONSCHEDULE H, PART VI, LINE 3SIGNS ARE POSTED THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH (AND ON OUR WEBSITE UNDER PATIENT AND FAMILY RESPONSIBILITY) THAT INFORM PATIENTS OF OUR ASSISTANCE POLICY. ALL PATIENTS THAT DO NOT HAVE INSURANCE ARE REFERRED TO FINANCIAL COUNSELORS WHO ASSIST WITH HELPING TO INFORM PATIENTS OF VARIOUS FINANCIAL ASSISTANCE OPTIONS EITHER THROUGH GOVERNMENT PROGRAMS OR THROUGH THE HOSPITAL'S ASSISTANCE POLICY. INVOICES SENT TO PATIENTS ALSO INCLUDE A NOTICE THAT THE HOSPITAL HAS AN ASSISTANCE PROGRAM AND HOW TO THEY CAN APPLY FOR ASSISTANCE. EXAMPLE OF LANGUAGE POSTED ON OUR WEBSITE AND THROUGHOUT THE HOSPITAL: 'IF A PATIENT OR FAMILY MEMBER CANNOT AFFORD TO PAY THEIR BILL, WE ENCOURAGE THEM TO ASK US ABOUT THE HOSPITAL ASSISTANCE PROGRAM.' AND: 'SI USTED NO TIENE LOS RECURSOS PARA PAGAR SU CUENTA, POR FAVOR PREGNTENOS SOBRE EL PROGRAMA DE ASISTENCIA DEL HOSPITAL.'
DESCRIPTION OF COMMUNITY SERVEDSCHEDULE H, PART VI, LINE 4CONWAY MEDICAL CENTER SERVES THOSE PERSONS LIVING IN HORRY COUNTY AS WELL AS THE BORDERING COUNTIES OF MARION AND GEORGETOWN. TWO OTHER HOSPITALS, MCLEOD LORIS/SEACOAST AND GRAND STRAND REGIONAL MEDICAL CENTER ARE LOCATED IN HORRY COUNTY. THE POPULATION OF HORRY COUNTY, ACCORDING TO THE LATEST CENSUS FIGURES, IS AS FOLLOWS: POPULATION IN 2010 WAS 269,291; THE POPULATION GREW BY 37% FROM 2000 TO 2010; IN 2010, THE POPULATION CONSISTED OF 6.3% OF PEOPLE UNDER THE AGE OF 5, 20.6% OF THE POPULATION AS UNDER 18 YEARS OF AGE AND 18% OF THE POPULATION WAS AGED 65 AND OLDER. MEDIAN HOUSEHOLD INCOME FOR HORRY COUNTY FOR 2006-2010 WAS $43,142 AS COMPARED TO THE STATE AVERAGE OF $43,939 WITH 16.1% OF PERSONS LIVING BELOW POVERTY LEVEL, COMPARED TO THE STATE AVERAGE OF 16.4%. THE CONWAY AREA'S MEDIAN HOUSEHOLD INCOME FOR 2006-1010 WAS $35,999 AND THERE WERE 23.6% OF PERSONS LIVING BELOW POVERTY LEVEL. THE METROPOLITAN STATISTICAL AREA IS CONSIDERED TO BE MYRTLE BEACH-NORTH MYRTLE BEACH-CONWAY, SC METRO AREA. THE PRIMARY SERVICE AREA OF THE HOSPITAL INCLUDES THOSE ZIP CODES WITHIN A 15 MILE RADIUS OF THE HOSPITAL WITH APPROXIMATELY 50% OF THAT AREA BEING IN A RURAL LOCATION.
PROMOTING THE HEALTH OF THE COMMUNITYSCHEDULE H, PART VI, LINE 5THE MISSION OF THE HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. MAJOR EFFORTS HAVE TAKEN PLACE TO PROVIDE FREE SCREENING WITHIN THE COMMUNITY THROUGH OUR MOBILE HEALTH OUTREACH PROGRAM TO DETECT ILLNESS AND DISEASE AT AN EARLY STAGE. THE 2011 REPORT SHOWS THAT THE OUTREACH PROGRAM DELIVERED FREE HEALTH SCREENINGS TO 75 VARIOUS LOCATIONS PREDOMINATELY IN MEDICALLY UNDERSERVED AREAS OF HORRY COUNTY. THERE WERE 1,186 PARTICIPANTS WHO WERE SCREENED WITH RESULTS AS FOLLOWS: ELEVATED BLOOD PRESSURE - 19%; ELEVATED BLOOD GLUCOSE - 16%; ELEVATED BLOOD CHOLESTEROL - 37%. BY PROVIDING COUNSELING, PHYSICIAN REFERRAL AND FOLLOW-UP, THE OUTREACH STAFF PROVIDED EDUCATION TO THOSE INDIVIDUALS THAT ARE SCREENED. IN ADDITION TO THE HEALTHREACH VAN SCREENINGS, DURING SEPTEMBER THROUGH JUNE, THE STAFF OBTAINS AND DELIVERS SMART SNACKS TO 4 SCHOOLS AND 662 CHILDREN EVERY THURSDAY. HEALTHREACH PROVIDED 647 FLU SHOTS AT 13 FLU CLINICS AND HELD TWO PROSTATE CANCER SCREENING CLINICS WITH 100 PARTICIPANTS AND 4 FOLLOW-UP PHYSICIAN REFERRALS DURING 2011. SAFESITTER BABYSITTING TRAINING CLASSES WERE PROVIDED IN JUNE AND JULY WITH A TOTAL OF 17 CHILDREN PARTICIPATING AND RECEIVING CERTIFICATION. MAMMOGRAM REFERRALS ARE ALSO INITIATED THROUGH THE HEALTHREACH OFFICE AND ADDITIONAL TRACKING AND FOLLOW UP COMMUNICATION IS PROVIDED. AS PART OF THE PROGRAM, OVER 375 PATIENTS, MEETING FINANCIAL ELIGIBILITY STATUS, WERE REFERRED FOR EITHER SCREENING OR DIAGNOSTIC MAMMOGRAPHY AT CONWAY MEDICAL CENTER AT NO CHARGE TO THE PATIENT. IN SOME CASES, ULTRASOUNDS WERE REQUIRED AND ALSO PROVIDED BY THE HOSPITAL AT NO CHARGE. THE HOSPITAL HAS ALSO COMMITTED $15,000 PER YEAR TO SUPPORT A FACULTY POSITION FOR THE NURSING PROGRAM AT HORRY-GEORGETOWN TECHNICAL COLLEGE. PASTORAL EDUCATION WAS PROVIDED TO AREA CLERGY AND LAY CLERGY AND BEREAVEMENT COUNSELING WAS OFFERED BY THE HOSPITAL PASTORAL SERVICES DEPARTMENT TO APPROXIMATELY 350 INDIVIDUALS FOR AN ESTIMATED COST OF $5,000. FREE HEALTH AND WELLNESS EDUCATION CLASSES WERE OFFERED BY THE HOSPITAL REACHING APPROXIMATELY 361 MEMBERS OF THE COMMUNITY FOR A COST OF $3,027. FREE HEALTH EDUCATION AND WELLNESS INFORMATION HAS ALSO BEEN PROVIDED THROUGH THE HOSPITAL'S WEBSITE AND COMMUNITY RELATIONS DEPARTMENT AT A COST OF APPROXIMATELY $237,000. THIS IS ESTIMATED TO HAVE REACHED IN EXCESS OF 240,500 INDIVIDUALS. THE HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF AND ITS BOARD MEMBERS ARE COMPRISED OF LOCAL COMMUNITY INDIVIDUALS WHO SERVE ON A VOLUNTARY BASIS. SURPLUS FUNDS OF THE HOSPITAL ARE RETURNED TO THE COMMUNITY THROUGH EXPANDED SERVICES AND CONTINUED ACCESS FOR ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.
COMMUNITY BENEFIT REPORT STATE FILINGSSCHEDULE H, PART VI, LINE 7SC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNITED WAY
PO BOX 673CONWAYSC29526570558692501(C)38231GENERAL PURPOSE
CONWAY MED CTR FOUNDATION
PO BOX 829CONWAYSC29526570870199501(C)327310GENERAL PURPOSE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNURSING SCHOLARSHIPS, BOOKS, AND TUITIONTypeOfGrant
Number Of Recipients13NumberOfRecipients
Amount Of Cash Grant38323AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S.Identifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationGRANTS TO ORGANIZATIONS - CONWAY HOSPITAL PAYS GRANTS TO VARIOUS LOCAL 501(C)3 ENTITIES WHICH ARE QUALIFIED EXEMPT ORGANIZATIONS. THE BOARD APPROVES EACH GRANT BEFORE IT IS PAID. SCHOLARSHIPS TO INDIVIDUALS - NURSING SCHOLARSHIPS ARE GIVEN OUT TO EMPLOYEES OF THE HOSPITAL AND OTHER MEMBERS OF THE COMMUNITY BASED ON FINANCIAL NEED AND NURSING SHORTAGES. TUITION REIMBURSEMENT IS ALSO GRANTED TO INDIVIDUALS FOR CERTAIN EDUCATIONAL ASSISTANCE. CONWAY PAYS FOR BOOKS AND TUITION ONLY, AND STUDENTS ARE REQUIRED TO MAINTAIN CERTAIN MINIMUM GRADES IN ORDER TO QUALIFY FOR ASSISTANCE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PHILIP CLAYTON
43195401842470002150310193300850562000
BRET BARR
227385064122000565080193300367345000
PRESTON STROSNIDER
272047074194000465780193300412149000
ANNAMARIE EAKINS
18575104664000092078095810334050000
CRAIG HYMAN
16533204246200064015095810281390000
DWIGHT GENTRY JR
1600680414220007319095810218390000
ANGELA WILLIFORD
138713038448000158990193300212390000
KEVIN LOVETT
121864035712000135240193300190430000
BERNARD MASSEY
12730102705200019273095810183207000
ROBERT GAJEWSKI
1375910300000071640193300167085000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL NONQUALIFIED RETIREMENT PLANIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 4bReturnReference
ExplanationCONWAY HOSPITAL PROVIDES A NON-QUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN, A CAPITAL ACCUMULATION PLAN AND AN ENVISION PLUS PLAN TO SENIOR EXECUTIVES SUBJECT TO CERTAIN VESTING REQUIREMENTS AND/OR SUBSTANTIAL RISKS OF FORFEITURE. THE FOLLOWING EXECUTIVES PARTICIPATED IN ONE OR MORE OF THE PLANS DURING THE YEAR: PHILIP CLAYTON, BRET BARR, PRESTON STROSNIDER, ANNAMARIE EAKINS, CRAIG HYMAN, DWIGHT GENTRY, JR., ANGELA WILLIFORD, KEVIN LOVETT, BERNARD MASSEY. THERE WERE NO PAYOUTS FROM THE PLANS DURING THE YEAR.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SC JOBS - ECONOMIC DEVELOPMENT
57096001883703FBB72007-11-0850000000CONSTRUCTION & RENOVATIONfalsefalsefalse
SC JOBS - ECONOMIC DEVELOPMENT
5709600182011-09-3019510000REFUND 1998 SERIES BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
6750000503253793782704004400001189648044913027002009falsefalsetruetrue
00195100000001460840001936391601998truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
WELLS FARGO
falsetruetrue29.6falsefalsefalsefalsefalse
(no name)
falsetruefalsefalsefalsefalsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Identifier2007 BOND ISSUE, COLUMN (A)Identifier
Return ReferencePART II, LINE 3 - TOTAL PROCEEDS OF ISSUEReturnReference
ExplanationTHE ADDITIONAL AMOUNT INCLUDED ON LINE 3 REPRESENTS INVESTMENT EARNINGS ON THE PROCEEDS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCHARLES JORDANNamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART VRelationship
Amount Of Transaction2587864AmountOfTransaction
Description Of TransactionINDEPENDENT CONTRACTORDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, COLUMN BReturnReference
ExplanationCHARLES JORDAN, TRUSTEE OF CONWAY HOSPITAL, HAS A BUSINESS RELATIONSHIP WITH CONWAY HOSPITAL. HE WAS CHAIRMAN OF MB KAHN, A CONSTRUCTION COMPANY HIRED TO ASSIST WITH HOSPITAL EXPANSION. MR. JORDAN DID NOT PARTICIPATE IN BOARD DISCUSSION AND VOTING REGARDING THIS ACTIVITY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (22 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 REVIEW PROCESSFORM 990, PART VI, LINE 11BTHE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE ACCOUNTING FIRM PREPARES THE IRS FORM 990 AND SENDS IT TO THE ACCOUNTING DEPARTMENT AND VP OF FISCAL SERVICES WHO REVIEW THE FORM IN DETAIL. THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEE MEMBERS BEFORE IT IS FILED.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENTFORM 990, PART VI, LINE 12CCONWAY HOSPITAL HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO THE BOARD OF DIRECTORS, DEPARTMENT HEADS AND EXECUTIVE LEVEL EMPLOYEES. ALL OF THESE COVERED PERSONS ARE REQUIRED TO ATTEST IN WRITING ANNUALLY THEIR UNDERSTANDING OF AND COMPLIANCE WITH THIS POLICY, AND TO PROVIDE INFORMATION CONCERNING ANY POSSIBLE CONFLICTS OF INTEREST. BOARD MEMBERS DO NOT PARTICIPATE IN VOTING ON MATTERS WHERE A CONFLICT OF INTEREST MAY EXIST. DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST: EVERY COVERED PERSON MUST SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND/OR POTENTIAL CONFLICTING INTERESTS. INDIVIDUALS RESUBMIT UPDATED STATEMENTS EACH YEAR WITH ANY NECESSARY CHANGES OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISES. ALL BOARD MEMBERS WILL RECEIVE AN ANNUAL SUMMARY OF THE DISCLOSURES. IN ADDITION, THE BOARD CHAIR AND CHIEF EXECUTIVE OFFICER SHALL HAVE DISCLOSURE STATEMENTS AVAILABLE AT THE TIME OF ALL BOARD MEETINGS IN CASE A POTENTIAL CONFLICT ARISES. EVERY BOARD MEMBER HAS THE OBLIGATION TO INFORM THE BOARD CHAIR OR THE CHIEF EXECUTIVE OFFICER IF HE/SHE IS AWARE OF AN UNDISCLOSED POTENTIAL FINANCIAL AND/OR CONFLICTING INTEREST OF ANOTHER PERSON COVERED BY THE POLICY. IN THE EVENT OF SUCH NOTIFICATION, THE BOARD CHAIR OR CHIEF EXECUTIVE OFFICER SHALL INVESTIGATE THE POSSIBLE UNDISCLOSED INTEREST.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, LINE 15A & 15BTHE BOARD EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING COMPENSATION FOR THE CEO, CFO AND ALL VICE PRESIDENTS. AT A MINIMUM OF EVERY THREE YEARS (AND MORE FREQUENTLY WHEN THERE IS TURNOVER IN A POSITION), AN INDEPENDENT CONSULTING COMPANY IS UTILIZED TO PROVIDE APPROPRIATE BENCHMARKED DATA FOR COMPARATIVE POSITIONS TO ASSIST IN DETERMINING COMPENSATION. THE CEO AND CFO ARE RESPONSIBLE FOR APPROVING COMPENSATION FOR ALL OTHER POSITIONS. THEY UTILIZE INDEPENDENT BENCHMARK DATA GATHERED BY THE SOUTH CAROLINA HOSPITAL ASSOCIATION IN SETTING APPROPRIATE COMPENSATION FOR THOSE POSITIONS.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICFORM 990, PART VI, LINE 19CONWAY HOSPITAL MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5UNREALIZED LOSSES 3,772,877 CHANGE IN FOUNDATION RESTRICTED ASSETS 2,489
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHILIP CLAYTON TITLE:CEO AND TRUSTEE HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEROY RAINBOW, JR. TITLE:CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:M. WAYNE STATON TITLE:SECRETARY HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM R. BENSON TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM L. HUGGINS TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HENRY V. SAUNDERS, MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHRISTOPHER S. HUGGINS TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHARLES B. JORDAN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DIANNE W. RAY TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HAL B. HOLMES, MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REGINALD F. DAVES, MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL ELLIS, MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN P. HENRY TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DEIRDRE S. WILLIAMS, DDS TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:AARON EPSTEIN, MC TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRET BARR TITLE:CFO HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DWIGHT GENTRY, JR. TITLE:VP OF ANCILLARY HOURS:3

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CONWAY LONG-TERM CARE SERVICES INC
300 SINGLETON RIDGE RDCONWAYSC29526570875232HEALTHCARESC501(C)303NA
CONWAY HOSPITAL COMMUNITY SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526571119337HEALTHCARESC501(C)303NA
CONWAY HOSPITAL EMERGENCY PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817905EMERGENCYSC501(C)311 A-INA
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817302ANESTHESIASC501(C)311 A-INA
CONWAY HOSPITAL FOUNDATION
300 SINGLETON RIDGE RDCONWAYSC29526570870199HEALTHCARESC501(C)311C-III-FINA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE RDAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
EIN570751357EIN
Primary ActivityRENTALSPrimaryActivity
Legal Domicile StateSCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income492056ShareOfTotalIncome
Share Of EOY Assets7081519ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CONWAY LONG-TERM CARE SERVICES INC
B4697719
CONWAY HOSPITAL COMMUNITY SERVICES INC
B8608293
CONWAY HOSPITAL EMERGENCY PROF SERVICES
B218767
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
B3858862
MEDICAL PROPERTIES INC
B188192
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
P3206280
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
R1902860
CONWAY LONG-TERM CARE SERVICES INC
R4989148
CONWAY HOSPITAL COMMUNITY SERVICES INC
R4115663
MEDICAL PROPERTIES INC
R1178082

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